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KMID : 0363220080460040520
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Korean Journal of Dermatology
2008 Volume.46 No. 4 p.520 ~ p.524
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A Case of Dermatophytosis of Trichophyton rubrum Developed on the Scalp and Trunk in an Adult by the Molecular Biologically Same Strain
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Park Young-Do
Kang Min-Chul
Lee Kyu-Suk
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Abstract
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The disease of tinea capitis rarely occurs in adults. Cases infected by Trichophyton rubrum (T. rubrum) in the scalp
of adults are especially rare. A 71 year-old woman presented who developed inflammatory scaly, erythematous
papules and sparsely hairy patch on Rt. Side of scalp and scaly, erythematous patch with central clearing on lower
abdomen and trunk. According to her history she had tinea pedis et unguium for a long time. The pruritic scaly
patch had developed on scalp and trunk one week previously. We found ectothrix using KOH mount on her hair
and hyphae on her toenail, toeweb, palm and trunk. T. rubrum was cultured on Sabouraud dextrose agar. A biopsy
was performed on the sparsely hairy patch and we found infiltration of inflammatory cells in upper dermis and
around hair follicle. Furthermore T. rubrum, which were cultured from several parts of body, were confirmed the
same strain by analysis of DNA sequencing and ribosomal DNA (rDNA) nontranscribed spacer. Herein we proved
a rare case of dermatophytosis in adult by the same strain, T. rubrum, identified by analysis of DNA sequencing
and rDNA nontranscribed spacer, causing tinea capitis as well as tinea pedis and tinea corporis. We think that this
will be useful basic data of epidemiologic study and classification of dermatophytes. (Korean J Dermatol 2008;
46(4):520∼524)
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KEYWORD
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DNA sequencing, Ribosomal DNA nontranscribed spacer, Tinea capitis, Trichophyton rubrum
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